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Individual

SHAWN PHILLIP OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 N COLUMBIA RD STOP 9037, DEPT OF SURGERY RM 5107,UNIVERSITY OF NORTH DAKOTA SMHS, GRAND FORKS, ND 58202-9037
(701) 777-3067
(701) 777-2609
Mailing address
501 N COLUMBIA RD STOP 9037, DEPT OF SURGERY RM 5107,UNIVERSITY OF NORTH DAKOTA SMHS, GRAND FORKS, ND 58202-9037
(701) 777-3067
(701) 777-2609

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TRL 12384
ND

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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